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Home My WebLink About0132767-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 852 W 19TH AVE CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Contractor MERTEN PLUMBING Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Site Drain Roof Drain Misc. Fixtures UselNature of Work Owner JUNE R WINTERS No 132767 Create Date 09/09/2008 Category 411 -Residential-Water Heaters Plan _ Shower Water Softner Wait. St. Shamp Sink Coffee Maker Floor Drain Local Waste Ice Chest FIrIWst Sink Int Grease Trap _ Lndry Tray Clothes Wshr _ Disposal Bidet Sculry Sink Wash Ftn RPZ Valve Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn _ Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs 1 Classrm Sink Sterilizer Surgeons Sink lee Maker Deduct Meters Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs Ejector/Grind Drink Ftn Serv Sink ;Soda Disp ,.zs __ Valuation $720.00 Plan Approval $0.00 Permit Fees $25.00 ^ Permit Voided Issued By i :rn/J Date 09/09/2008 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Address 1087 COZY LN Agent/Owner OSHKOSH Date WI 54901 - 1404 Telephone Number 231-6795 ~ v scneauie inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920)236-5050 Fax: (920) 236-5084 Plumbing Permit Application O HKO H ON THE WATER I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here iJyau want this processed through your account n ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for PerCm~it Iss//u•'ance and will be returned for completion. p Job Address ~/ ~ W .. l) ~('~ ValUe (Including labor and materials) ,p~~ ap Date Q0 Owner ~kh~ W(UI"f~~$ Contractor f .~J'~ : f ' Single Family ^Duplex ^Multi-Family ^Rental ^Commerc-al Industrial Number of Fixtures: Bathtub Disposal Drink Ftn Whirlpool Dishwasher Wait. St. Lavatory Sump Pump Ice Chest Toilet Ejector/Grind Exam Sink Res. Sink Water Softner Sculry Sink Bar Sink Local Waste Hand Sink Wa i• Heater ~ Clothes Wshr F Prep Sink as ~~ Elect's PwrVnt Bidet Serv Sink Shower Beer Tap Int Grease Trap Floor Drain Classrm Sink Ext Grease Trap Lndry Tray Surgeons Sink R.P.Z. Valve Lab Sink Breakrm Sink Shamp Sink Plaster Sink Dip We11 Flr/Wst Sink Sterilizer Hose Bibs Misc. Fixtures Electric Contractor (for projects not requiring an EIV Form) Use /Nature of Work Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Comm. Ice Maker Site Drain Roof Drain Standp Rec Eye Wash Sm Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service o~~o~